The Indianapolis journal. [volume] (Indianapolis [Ind.]) 1867-1904, 1887-11-18

Prince and his condition without reserve There
was positively nothing of cancerous nature in
the first growth, he said: consequently there
was no Justification for an operation at that
time.
Then this cancerous growth is later devel-
opment."
Entirely a new form alton. Please remembar,
also, that tho lgh other specialists and myself,
In the consultation at San Reno, pronounced
this new growth cancerous, yet We await as de-
clslve one way or the other the report of Prof.
Vlrchow, to whom, before, the portion ex-
tracted has been gu omitted"
.'You yourself are convinced of tho malignant
nature of this later growthls
"Quite so. unfortunately; but il it should de-
velop very rapidly l am prepared to make
attempt to remove it, wholly, il can, partially
If not, by the mouth, though the return of the
adametous Inflammation might prevent this
means of dealing with the danger. By the way,
desire it to be known. IN refutation OF certain
contrary statements. that, though Immediately
on reaching Sam Reno l made plain to the
Crown Prince my fears as to the character of
the new growth, IL was at my express wish that
Professor Schroeder placed before his Imperial
Hichness the advantages and risks attendant on
various external operations-such. for instance.
as removing the larnyx, terrible operation
what is the percentage or deaths with such
operationlr
II should think about 20 per cent
is it possible that tracheotomy may become
necessary much sooner than expectedl"
'It may be averted for months TO come. say
five or six, insercurrent attack of infam-
nation might render il imperative in a few
days"
1.-The duration of life after performing trache-
osomy is from eighteen months to two years. is
it notl"
Two years is about the limit; so we must
conclude chat within three years Germany will
have to deplore the loss Of her present her-ap-
parent"
"On what evidence did you base your con-
vicrion that the present growth is cancerousa"
"On the appearance OF the tumor on the faco
of the new form alton Tumors invariably show
themselves within few weeks of the first pres
ence of cancerous crowths Doctor Howell dis
covered the tumor just before the Crown Prince
left Baveno."
.'But won't this tumor seriously impede the
inside of the larynx if it grows? Won't there be
danger Of sufocationR"
"Oh, as told you, am prepared to under
take to remove it in that case through the
mouth. Turnors can be cnred by extirpation If
they increase rapidly, but that remedy when ap-
present object is to retard tracheotomy long
IS possible"
his determination not to take the desperate
chance offered by external operation2"
Il want it to be known that had no CONVEX
saton with his Imeral Highness regarding his
decision this point, and this should 5e n
swer to all gratuitous surmises that exercised
any influence whatever upon the Crown Prince
to dissuade him from an operation may add
that after the final examination OF the throat
the Crown Prince called me aside and thanked
me, and kindly expressed unalterable confidence
in me. Her Imperial Highness did me the same
honor. and like her husband thanked me for
concealing nothing. but allowing them to know
tbs worst at once"
.sThen it is merely question to how long
!t will be possible to hold tracheotomy aloof
from the patient2n
"Yes; after that events will follow their usual
conrse